Ascension Saint Thomas Three Rivers
451 Highway 13 South, Waverly, TN 37185 · 25 Priced Procedures
Typical commercial prices here are +212% above the fair benchmark (3.12×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Ascension Saint Thomas Three Rivers prices routine shoppable procedures at 4.0× Medicare (median 3.00× Fair BaseRate) while upper-quartile commercial rates jump +36% to 4.07× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.75× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 100% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (61.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.0× markup over Medicare rates
- Commercial insurance median sits at 3.00× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.07×) jump +36% above the median procedure ratio (Q50 3.00×)
- Unnegotiated chargemaster list prices average 6.3× Medicare (28¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Ascension Saint Thomas Three Rivers
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 25 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | — | — |
| Breast lump removal CPT Code: 19120 | — | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,065 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,949 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,405 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,008 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $992 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $751 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $741 | unverified |
| CT scan, sinuses CPT Code: 70486 | $675 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $663 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $676 | unverified |
| CT scan, pelvis CPT Code: 72192 | $682 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $553 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $404 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $362 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $318 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $317 | unverified |
| X-ray, pelvis CPT Code: 72170 | $195 | 1.8× |
| X-ray, lower back CPT Code: 72110 | $195 | 1.7× |
| X-ray, shoulder CPT Code: 73030 | $161 | 1.8× |
| X-ray, foot CPT Code: 73630 | $161 | 1.8× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $161 | 1.7× |
| X-ray, hand CPT Code: 73130 | $161 | 1.7× |
| X-ray, ankle CPT Code: 73610 | $161 | 1.7× |
Audit a Bill or Quote at Ascension Saint Thomas Three Rivers (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $38
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (61.9% of gross = $38).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Ascension Saint Thomas Three Rivers's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (61.9% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Ascension Saint Thomas Three Rivers. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-05-21·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ascension Saint Thomas Three Rivers.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.